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Equine Thrush: How to Treat & Avoid It


September 11, 2024

Equine thrush is a common yet serious condition that affects horses’ hooves and can cause significant discomfort and lameness if left untreated. In our guide, we’ll explore the nature of equine thrush, its symptoms and causes, and detailed steps for treating and preventing this condition.

A white horse running through sand.

What is thrush in horses?

Equine thrush is a degenerative condition that affects the frog of a horse’s hoof and starts on the surface in the central sulcus of the frog.

The central sulcus is a groove or cleft in the middle of the frog (the triangular, rubbery part on the bottom of a horse’s hoof). This area is prone to moisture and dirt accumulation, making it a common starting point for infection.

Thrush is commonly identified by its distinct odor and the presence of an overly soft, rough-textured frog. In severe cases, horses may show lameness if the disease moves into sensitive tissue.

Causes and Risk Factors

While the specific cause of equine thrush is elusive, several factors have been identified as contributing to its development. These factors include both environmental and horse-related elements.

Environmental Factors:

  • Anaerobic bacteria: These bacteria thrive in low-oxygen environments and are often found in the frog’s crevices when exposed to damp, unsanitary conditions.
  • Damp, dirty stall conditions: Stabling horses in wet, dirty environments provides a breeding ground for the anaerobic bacteria. However, horses in clean, dry environments can develop thrush due to other contributing factors.
  • Infrequent hoof care: Regular hoof cleaning and maintenance are vital in preventing thrush. Neglected hooves are more likely to develop this degenerative condition due to accumulated debris and moisture.

Horse-Related Factors:

  • Lack of exercise: Adequate movement is essential for heel expansion and the natural cleaning of the frog. Horses with limited exercise are more susceptible to developing thrush.
  • Poor hoof conformation: Horses with naturally deep sulci (the grooves on either side of the frog) or narrow heels are more susceptible to thrush. Meanwhile, horses with wide heels and shallow sulci are less prone to this condition.

Symptoms of Thrush in Horses

Equine thrush manifests through several distinct symptoms, often beginning subtly before advancing to more severe signs.

  • Foul odor: One of the most recognizable symptoms of thrush is a strong, unpleasant smell emanating from the affected hoof.
  • Black discharge: Another symptom of thrush is a black, tarry discharge around the frog and the sulci.
  • Softened frog: The frog may feel unusually soft or mushy to the touch. Over time, its structure can become crumbly and deteriorate.
  • Pain or lameness: In more severe cases, horses might display discomfort when walking, particularly on hard surfaces. Lameness occurs when the infection reaches the sensitive inner tissues of the hoof.
  • Pressure sensitivity: Horses with thrush may react negatively when their hooves are cleaned or handled, showing signs of pain or discomfort when pressure is applied to the affected areas.

How to Catch Thrush Early

Early detection is essential for the effective treatment and prevention of thrush. Here are some steps to help identify thrush in its initial stages:

  • Regular hoof inspections: Pay close attention to the frog and the sulci, checking for any abnormalities, such as discoloration, discharge, or changes in texture.
  • Smell test: While cleaning the hooves, note any unusual odors. A foul smell can be an early sign of thrush (even with no other symptoms).
  • Monitor behavior: Observe your horse’s behavior, especially during hoof care. Increased sensitivity or reluctance to have their hooves handled can indicate the early presence of thrush.
  • Consult a professional: If you suspect your horse might be developing thrush, consult with a farrier or veterinarian. Early professional intervention can prevent the condition from worsening.

How to Treat Thrush in Horses

A person putting medicine on the inside of a horse's hoof to treat horse thrush.

Effective treatment involves several steps, starting with thoroughly cleaning the affected hoof. Here’s a detailed guide on how to treat thrush in horses.

Clean the Affected Hoof

  1. Gather your supplies: 
    • You’ll need a hoof pick, a stiff brush, and a suitable hoof cleaner or disinfectant.
    • Check that your tools are clean to avoid introducing new bacteria.
  2. Prepare the area: Find a well-lit, dry location to work on your horse’s hoof. This will make it easier to see and thoroughly clean the hoof.
  3. Remove debris: 
    • Use the hoof pick to remove all debris, manure, and bedding material from the hoof. Pay special attention to the frog’s central sulcus and clefts, as thrush typically starts in these areas.
    • After using the hoof pick, scrub the hoof with a stiff brush. This helps remove any remaining dirt and debris, providing a cleaner surface for treatment.
  4. Trim the frog if necessary: 
    • It’s best to have a professional farrier perform this step to avoid causing injury to your horse.
    • If it is overgrown or has areas of dead tissue, trimming it back exposes hidden areas of infection and improves air circulation.
  5. Clean with topical treatment: 
    • Follow the product instructions carefully. Generally, you’ll apply the treatment directly to the cleaned and trimmed areas of the hoof so it penetrates deep into the frog and the central sulcus.
  6. Reapply as needed: Most treatments require daily application until the infection clears. Monitor the hoof closely and continue the treatment as recommended.

Topical Thrush Treatments

Topical treatments play a vital role in combating thrush. Here are some effective options:

  • Hooflex Thrush Remedy: This product penetrates deeply to kill bacteria and fungi responsible for thrush. Apply directly to the affected areas twice daily until symptoms subside.
  • Vetericyn Hoof Care: Known for its broad-spectrum antibacterial properties, Vetericyn Hoof Care is sprayed onto the frog and sulci to aid in healing. Use it once or twice daily, depending on the severity of the thrush.
  • Durvet Thrush Rid: This remedy is designed specifically for treating thrush. It should be applied generously to the cleaned and trimmed frog, focusing on the infected areas. Apply once daily until symptoms improve.
  • Mustad Thrush Buster: A highly effective treatment that requires only a few applications. Use it sparingly, applying it every other day for a week or until symptoms improve.

Absorbine Hooflex Thrush Remedy For Horses, 12-oz.

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Vetericyn, Mobility Hoof Care Spray, 8 oz

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Thrush Rid 2 oz.

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Mustad Thrush Buster, 2 oz.

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Additional Treatment Measures

Beyond topical treatments, additional measures are essential in managing and preventing thrush:

  • Supply a clean, dry environment: Regularly muck out stalls, provide proper drainage, and use dry bedding to minimize moisture buildup.
  • Provide regular hoof maintenance: Include frequent cleaning and trimming by a professional farrier.
  • Use of hoof boots or wraps: In some cases, veterinarians might recommend hoof boots or wraps to protect the treated area from further contamination and to keep it dry during the healing process.
  • Monitor healing progress: If there is no noticeable improvement within a week or if the condition worsens, consult a veterinarian. Early professional intervention can prevent complications and provide appropriate treatment.

For more on horse care, read:

Preventing Equine Thrush

Taking proactive steps can significantly reduce the risk of your horse developing thrush.

Maintain a Clean Environment

Thrush-causing bacteria thrive in moist, dirty conditions. To prevent this, it is important your horse’s stall is kept clean and dry.

  • Regularly muck out stalls and provide proper drainage to minimize moisture.
  • Remove manure and soiled bedding daily, and replace it with fresh, dry bedding.

Provide Regular Hoof Care

Clean your horse’s hooves daily to remove dirt, manure, and other debris that can create an ideal environment for bacteria.

  • Use a hoof pick to carefully clean around the frog and sulci, checking that no hidden moisture pockets remain.
  • During daily hoof cleaning, inspect for early signs of thrush, such as foul odor, black discharge, or changes in the frog’s texture.
  • Schedule routine farrier visits for proper hoof trimming and maintenance. Aim for farrier visits every six to eight weeks, depending on your horse’s needs.

Include Exercise and Movement

Regular exercise stimulates blood flow and promotes healthy hoof growth. It also helps expand the heels and naturally cleans the frog, reducing the likelihood of thrush development.

  • Avoid keeping your horse confined for long periods. Prolonged confinement in a small space can increase the risk of thrush due to limited movement and exposure to potentially damp environments.
  • Allow time in pasture or turnout areas to promote natural hoof cleaning through movement.

Frequently Asked Questions

A horse walking in a corral with another horse in the background.

How long does it take for thrush to go away in horses?

This largely depends on the severity of the infection and the promptness of treatment.

Mild cases of thrush can often improve within a week of consistent cleaning and effective topical treatments. More severe infections may take several weeks to heal fully, especially if the condition has penetrated deeper into the hoof tissues.

Can you ride a horse with thrush?

Riding a horse with thrush is generally not recommended. Thrush can cause significant discomfort, and riding may worsen the condition by placing additional pressure on the affected hoof.

Light, non-strenuous activities might be permissible if the thrush is mild and the horse shows no signs of pain or lameness. However, it’s always best to consult a veterinarian or farrier before deciding to ride.

Does apple cider vinegar work as a treatment for hoof thrush?

Due to its acidic properties, apple cider vinegar is sometimes used as a natural remedy for preventing and treating mild cases of thrush. Dilute it with water and apply the mixture to the hooves to help maintain cleanliness and prevent bacterial growth.

However, veterinary-approved products are recommended for more effective results for established thrush cases.

Does hydrogen peroxide work as a treatment for horse thrush?

Hydrogen peroxide can treat horse thrush, but it should be used cautiously. It is an effective disinfectant that can help kill the bacteria that cause thrush.

However, using it excessively can also damage healthy tissue and delay healing.

Does betadine work as a treatment for horse thrush?

Yes, betadine (povidone-iodine) can effectively treat horse thrush. Betadine is an antiseptic that kills bacteria and fungi, making it a suitable option for disinfecting and treating thrush in horses.

While betadine is effective, products specifically formulated to treat thrush can be used in conjunction with it or as an alternative.

Essential Steps for Healthy Hooves

With proper care and the right preventive measures, your horse’s hooves will remain healthy and free from the discomfort of thrush.

Visit Wilco Farm Store for all your equine care needs and explore our range of thrush treatment products to keep your horse in top condition!

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